Mirabella Angela C, McAmis Nicole E, Kiassat Corey, Feinn Richard, Singh Gagan
Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, CT, USA.
School of Engineering, Quinnipiac University, Hamden, CT, USA.
J Community Hosp Intern Med Perspect. 2021 Jun 21;11(4):501-506. doi: 10.1080/20009666.2021.1929047.
: There is no 'gold standard' method of rounding for hospitalists. This study investigates hospitalist rounding preferences to improve efficiency based on resources categorized under work assignment and communication. : An anonymous survey containing demographics and questions on preferences for rounding efficiently by hospitalists were widely distributed online. Res6ponses were presented using descriptive statistics and SPSS v26. : There were 143 respondents, majority male (60%) with (40%) female. Most (80%) expect higher patient volumes when working with an advanced practitioner (AP). Half (50%) preferred rounding independently, (34%) with an AP, and majority (62%) with a resident. Geographic rounding was most efficient at 85%. Text messaging for paging was preferred (70.1%) to pagers (23.4%). Respondents preferred calling a consultant (52%) or text messaging (40%). Majority have not used a WOW yet (74%) believe WOWs could improve efficiency. Majority prefer dictation via Dragon (47%) to the phone application (23%). Only 29% believe their EMR is too complex to navigate. Preference difference due to age was insignificant. : In this study, 143 hospitalists provided preferences for improving rounding efficiency based on elements from work assignment and communication. This analysis can provide insights on designing best practices for hospitalists rounding efficiently.
对于住院医师而言，没有“金标准”的查房方法。本研究调查住院医师的查房偏好，以便根据工作分配和沟通方面的资源来提高效率。
一项包含人口统计学信息以及关于住院医师高效查房偏好问题的匿名调查在网上广泛分发。使用描述性统计和SPSS v26软件呈现结果。
共有143名受访者，多数为男性（60%），女性占40%。大多数（80%）人预计在与高级执业医师（AP）合作时患者数量会增加。一半（50%）的人更喜欢独立查房，34%的人喜欢与AP一起查房，大多数（62%）的人喜欢与住院医师一起查房。区域查房效率最高，为85%。相比传呼机（23.4%），更多人更喜欢通过短信传呼（70.1%）。受访者更喜欢打电话给会诊医生（52%）或发短信（40%）。大多数人尚未使用过工作优化工具（WOW）（74%），但认为WOW可以提高效率。大多数人更喜欢通过Dragon进行听写（47%），而不是使用手机应用程序（23%）。只有29%的人认为他们的电子病历系统太难操作。年龄导致的偏好差异不显著。
在本研究中，143名住院医师基于工作分配和沟通要素提供了提高查房效率的偏好。该分析可为设计住院医师高效查房的最佳实践提供见解。
